Registered Nurse (RN) – Labor & Delivery

Job Description

We are seeking a skilled Registered Nurse specializing in Labor & Delivery to join our team. The ideal candidate will have a minimum of 2 years of high-risk Labor & Delivery experience.

Requirements

• Experience: 2 years of high-risk Labor & Delivery experience required.
• Work Settings: Antepartum, Labor & Delivery, high-risk L&D.
• Certifications: BLS, NRP, AWHONN Intermediate required; ACLS preferred.

Responsibilities

• Antepartum Care: Perform non-stress tests (NST), oxytocin challenge tests (OCT), reflex checks, edema assessment, sterile vaginal exams, and external fetal monitoring.
• Patient Care: Manage malpresentations, multiple gestations, placenta previa/abruption, preeclampsia/eclampsia, premature rupture of membranes, preterm labor, and uterine rupture. Assist with VBAC management and trial of labor.
• Emergency Care: Respond to infant/neonatal arrest situations.
• Fetal Monitoring: Recognize and treat abnormal fetal heart rate patterns, perform external/internal fetal monitoring, and insert and calibrate intrauterine pressure catheters (IUPC).
• IV Therapy: Administer blood and blood products, start and maintain IVs.
• Medications: Administer anticoagulation therapy, antihypertensives, antiseizure medications, insulin drips, magnesium sulfate therapy, Pitocin (oxytocin), prostaglandins, and terbutaline.
• Labor & Delivery: Conduct amnioinfusions, assist with high-risk deliveries, circulate for C-sections, and manage hemorrhage/shock situations. Provide recovery care for C-sections.
• Neonatal Care: Conduct APGAR scoring, provide baby nurse/baby catcher services, manage ID/security banding, perform neonatal resuscitation, and maintain thermoregulation for infants. Conduct newborn assessments and manage newborn hypoglycemia.
• Pain Management: Provide epidural anesthesia, general anesthesia, IV conscious sedation, nitrous oxide, and opioids. Perform pain assessment and management, and utilize IV PCA.
• Postpartum Care: Support baby-friendly protocols, breastfeeding/lactation, fundus/lochia/perineum care, and electric/manual breast pumps. Manage cesarean sections, bladder distension, couplet care, and multiple births. Address postpartum hemorrhage and pregnancy-induced hypertension.
• Additional Skills: Implement isolation precautions/PPE, administer vaccines, and manage high-risk L&D aspects including magnesium drips.

Shift and Scheduling

• Ratios: 1:2 nurse-to-patient ratios.
• Schedule: 12-hour night shifts with options for 36 or 48 hours per week. Accepting contracts of 13-26 weeks.
• Availability: Must be available to float to Mother/Baby care as needed.
• Weekend Care: Required every third weekend.

Patient Diagnoses

• Preterm labor
• Preeclampsia with or without severe features
• Postpartum hemorrhage
• Cytotec/Foley/Pitocin induction
• Intrauterine fetal demise
• Laboring patients
• Primary and repeat C-sections

Special Procedures / Unit Details

• Average Daily Census: 15 patients.
• Number of Rooms: 14.
• Approximately 350 deliveries per month; fast-paced unit with high patient loads.
• Required to circulate and recover C-sections.
• May involve caring for patients with COVID-19.
• Document